WTC facade inspection form, 75-85 Wall Street

NYC 9/11 Public Portal Document

2 , 1 WTC Visual Survey Form Pre~nis~ Address:

Block: 3 Residential 0 Commercia Name of Building: Lot: 1 Mix UseD Other -z cL7JIL 9 # of Stories: AKA's: to - ii " -r - ST ( -152- P- l 7-sb p 9r. Building Owner/Management Telephone Number. ( ) Name: C'~Lu 0 V i FAX: Address: On Site Conttct Name: * t CL_ C -~ l Telephone Number. Building Owner Management Activities Interior Survey Performed 0 Yes 0 No Exterior Survey Performed 0 Yes 0 No General Clean Up 0 Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 9 Yes 0 No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes O No ❑ No Visible/Fine Layer 9 4 to 1' E3>10 South ❑ N/A ❑ Yes O No O No Visible/Fine Layer ❑ % to 1' 0>1' East ❑ N/A ❑ Yes O No ❑ No Visible/Fine Layer ❑ i4 to 1' 0>1' West ❑N/A ❑Ye 13 No O No Visible/Fine Layer ❑ % to 1' 0>1' Facade Description: ,~

Roof

Debris: '6No Visible /Fine Layer 0 % to 1' ❑ > 1' Description:

Setbacks N/Aq Floor Debris: [] No Visible/Fine Layer D % to 1' 9>1' Floor Debris: 0 No Visible/Fine Layer D % to V ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer [] % to 1' ❑ > 1' Floor. Floor. Debris: 0 No Visible/Fine Layer Debris: 0 No Visible/Fine Layer B%tol" )4 to 1' 9> 1' [3> 1' Comments

Date: 4/ O02 Inspection Team: Name: Agency:_______ Name: Agency: _____ 'RFr

NYC-WTC 000112616